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Confined Space Medicine and the Medical Management of Complex Rescues: A Case Series

  • Bruno Petinaux (a1), Anthony G. Macintyre (a1) and Joseph A. Barbera (a2)
Abstract Objective

A variety of hazards can precipitate the full or partial collapse of occupied structures. The rescue of entrapped survivors in these situations can be complex, require a multidisciplinary approach, and last for many hours.


The modern discipline of Urban Search and Rescue, which includes an active medical component, has evolved to address such situations. This case series spans several decades of experience and highlights the medical principles in the response to collapsed structure incidents.


Recurring concepts of confined space medicine include rescuer safety, inter-disciplinary coordination, patient protection, medical resuscitation in austere environments, and technical extrications.


Strategies have been developed to address the varied challenges in the medical response to collapsed structure incidents. (Disaster Med Public Health Preparedness. 2014;0:1–10)

Corresponding author
Correspondence and reprint requests to Bruno Petinaux, MD, Department of Emergency Medicine, The George Washington University Medical Faculty Associates, Ste 450, 2120 L St, NW, Washington, DC 20037 (e-mail
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Disaster Medicine and Public Health Preparedness
  • ISSN: 1935-7893
  • EISSN: 1938-744X
  • URL: /core/journals/disaster-medicine-and-public-health-preparedness
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